[The incidence of gastroduodenal ulcer disease and consideration of the appropriate indications for surgery].
The author of this communication gathered whole range of important information on 2,173 patients permanently resident in Prague 4 district, in whom the gastroduodenal ulcers were diagnosed in the years 1979-1988. It was proved that the current therapy does not yield the results which would by satisfactory both for the patient and physician. Medical therapy prevails, in some strictly indicated cases leading to planned surgical interventions. On the basis of generally clear and acknowledge indication criteria in acute conditions (haemorrhage, perforation, stenoses) the author tries to create a certain pattern of examinations and data gathering necessary for a responsible recommendation of planned surgery. The prerequisite is to pay more attention to the often neglected complexity with the awareness of the psychosomatic character of gastroduodenal ulcers.